Individual
GENET MELLES FESSEHAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9065 EDGEMOOR DR, SANTEE, CA 92071-3037
(619) 956-2800
Mailing address
9065 EDGEMOOR DR, SANTEE, CA 92071-3037
(619) 956-2800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
748402
CA
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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